The Hopkins group reviewed differential outcomes in close to 800 patients who had undergone bilateral IMA revascularization during CABG. The compared configurations included:
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Minimally Invasive CABG
March 14, 2016
December 16, 2015
This video demonstrates a total and complete arterial revascularization using bilateral internal mammary arteries in a 65-year-old man with acute inferior wall myocardial infarction.
August 22, 2015
Outcomes of robotic vs nonrobotic cardiac surgery were evaluated using 1:2 propensity score matching of patients in the Nationwide Inpatient Sample. Operations included valves/septae (10%), coronary arteries (47%), and other. Mean costs were 7.5% higher for robotic cases. Robotic procedures had shorter length of stay (5 vs 6 days), lower mortality
June 17, 2015
Using propensity score matching techniques, outcomes and costs for robotic cardiac surgery were compared to open cardiac surgery using data from the Nationwide Inpatient Sample. Robotic surgery was more expensive ($39,030 vs $36,340) but was associated with a shorter length of stay (5 vs 6 days), lower mortality (1.0% vs 1.9%), and lower overall com
April 7, 2015
The authors prospectively performed coronary angiograms in their patients undergoing isolated CABG who demonstrated a rising cardiac troponin I profile in the first 12 hours following heart surgery - despite being asymptomatic. Among a total of 1693 patients from 2005-2011, 29 (1.7%) of patients had a rising CTnI.
March 29, 2015
The authors of this article compared CABG and PCI with second generation drug eluting stents (DES-PCI) in patients with multivessel coronary artery disease. They used data from a large observational registry and applied propensity score matching to create groups with similar baseline characteristics.
January 18, 2015
This is an interesting review of the current status of hybrid coronary revascularization (HCR). The authors discuss the merits and disadvantages of simultaneous versus staged procedures and describe the individual components of HCR. They also analyze the current evidence with regards to results and suggest indications for this type of therapy.
August 18, 2014
The study aims to compare outcomes between minimally invasive coronary artery bypass (MINI–CAB) and drug–eluting stent (DES) implantation for isolated left anterior descending (LAD) disease. Given the available evidence, MINI–CAB results in lower TVR rates, but otherwise similar clinical outcomes when compared with DES in patients with LAD disease.